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Delaware rates for HCPCS 72125

Computed tomography, cervical spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $53.70 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $208.93 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $53.70 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $109.65 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $245.47 / $389.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $61.66 / $95.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $162.18 / $302.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $60.26 / $549.54
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $208.93 / $416.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $52.48 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $162.18 / $338.84